Organization
TLC TRANSITIONS LIFE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY CHRISTINE MAHANA PSY.D., HSPP (CLINICAL PSYCHOLOGIST)
(417) 838-3490
Entity
Organization
Contact information
Practice address
3224 S LAFOUNTAIN ST STE B, KOKOMO, IN 46902-3714
(417) 838-3490
Mailing address
3224 S LAFOUNTAIN ST STE B, KOKOMO, IN 46902-3714
(417) 838-3490
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
20043022A
IN
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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